NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49422 Removal of abdominal cavity tube CPT · Dialysis treatment
Classification Treatment › Dialysis › Peritoneal Dialysis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,068 services ▼ 23.1% YoY · 1,051 beneficiaries (CY2024, Medicare FFS)
Medicare paid $280K · $262.27 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
44
Named-group FFS services
718
FFS of Medicare
49%
Services YoY
-23.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,394 services

718 observed fee-for-service (52%) · ~676 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 49422 (CY2024)
TX 98 VA 88 CA 77 NV 76 FL 68

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$755K
Named-group allowed amount
$125K
Named-group Medicare payments
$97K
Avg charge / svc
$1,052
Avg allowed / svc
$174
Avg payment / svc
$135
Average charge per group
$262 44 groups · avg submitted charge / service $2,597
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 49422 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 33 $17,391 $527 43.4% (702) 732-2438
2 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 32 $43,600 $1,362 55.2% (856) 247-7260
3 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 31 $44,237 $1,427 40.3% (877) 827-7463
4 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 29 $54,498 $1,879 72.5% (864) 587-3000
5 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 28 $36,800 $1,314 65.1% (800) 603-0558
6 ST JOSEPHS MEDICAL PC LIVERPOOL NY PHYSICIAN ASSISTANT 378 23 $10,120 $440 100.0% (315) 475-8402
7 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 21 $18,900 $900 21.4% (817) 920-0484
8 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 21 $25,914 $1,234 63.6% (215) 662-2777
9 MUSC COMMUNITY PHYSICIANS ORANGEBURG IL NURSE PRACTITIONER 1307 20 $45,460 $2,273 31.7% (803) 395-3400
10 VALLEY DIALYSIS ACCESS SURGERY ASSOCIATES, INC. FRESNO CA NURSE PRACTITIONER 2 20 $12,229 $611 26.0% (559) 840-1890
11 PHYSICIANS CARE OF VIRGINIA PC ROANOKE VA NEPHROLOGY 20 19 $22,059 $1,161 21.6% (540) 527-2737
12 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH OH DIAGNOSTIC RADIOLOGY 4291 19 $21,166 $1,114 42.2% —
13 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 18 $18,787 $1,044 100.0% (402) 559-4000
14 RENALCARE ASSOCIATES, S.C. PEORIA IL NEPHROLOGY 48 17 $6,053 $356 27.0% (309) 676-8123
15 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 17 $13,430 $790 100.0% (316) 263-0296
16 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 17 $14,484 $852 100.0% (615) 269-4545
17 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 15 $12,045 $803 33.3% —
18 VASCULAR ASSOCIATES OF SARASOTA SARASOTA FL VASCULAR SURGERY 13 15 $6,832 $455 22.1% (941) 371-6565
19 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU HI DIAGNOSTIC RADIOLOGY 648 15 $9,180 $612 100.0% (808) 691-8200
20 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 15 $25,125 $1,675 55.6% (205) 934-3460
21 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 15 $11,520 $768 27.3% (405) 254-9690
22 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 14 $26,978 $1,927 100.0% (314) 747-3000
23 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 14 $23,184 $1,656 15.9% (804) 828-9000
24 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 13 $18,265 $1,405 22.4% —
25 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 13 $10,491 $807 23.6% —
26 WELLSTAR MEDICAL GROUP LLC MARIETTA MS NURSE PRACTITIONER 3060 13 $11,296 $869 100.0% (770) 422-2004
27 NORMAN REGIONAL PROVIDERS SPECIALTY CARE NORMAN OK NURSE PRACTITIONER 162 13 $10,027 $771 23.6% (405) 307-5700
28 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 12 $6,324 $527 12.2% (210) 403-7978
29 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 12 $9,636 $803 100.0% (501) 202-2093
30 METROPOLITAN ACCESS CENTER LLC COLMAR MANOR DC NEPHROLOGY 2 12 $3,140 $262 100.0% (301) 277-1545
31 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 12 $5,796 $483 100.0% (502) 928-1050
32 IQ SURGICAL ASSOCIATES INC VISALIA CA GENERAL SURGERY 5 12 $9,600 $800 15.6% (559) 302-5600
33 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 12 $11,616 $968 13.6% (434) 924-5959
34 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 12 $10,308 $859 100.0% (225) 765-1765
35 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 12 $12,624 $1,052 13.6% —
36 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 12 $31,164 $2,597 19.0% (217) 545-8000
37 SWAT SURGICAL ASSOCIATES LLP LUBBOCK TX GENERAL SURGERY 13 12 $13,332 $1,111 12.2% (806) 799-7928
38 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 12 $19,308 $1,609 12.2% (214) 633-5555
39 UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH PHYSICIAN ASSISTANT 405 11 $6,223 $566 24.4% (419) 383-5550
40 CHESAPEAKE REGIONAL MEDICAL GROUP CHESAPEAKE VA NURSE PRACTITIONER 140 11 $4,753 $432 12.5% (757) 312-6460
41 SOUTH BROWARD HOSPITAL DISTRICT HOLLYWOOD FL NURSE PRACTITIONER 665 11 $15,037 $1,367 16.2% (954) 265-7750
42 CAROLINA COLORECTAL SURGERY, PC RALEIGH NC PHYSICIAN ASSISTANT 2 11 $5,500 $500 100.0% (919) 784-6600
43 EVANSVILLE SURGICAL ASSOCIATES INC EVANSVILLE IN PHYSICIAN ASSISTANT 45 11 $13,068 $1,188 44.0% (812) 424-8231
44 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 11 $7,678 $698 16.2% (407) 200-2700

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →